|
| Please provide the information below. (* Required Fields) |
|
| First Name:* |
Last Name:* |
| Job Title: |
|
| Daytime Phone:* |
(format: XXX-XXX-XXXX)
|
| Email Address:* |
|
| Restaurant Name:* |
|
| Industry Segment* |
|
| Menu Theme |
|
| Business Phone:* |
(format: XXX-XXX-XXXX)
|
| Business Fax: |
(format: XXX-XXX-XXXX)
|
| Business Website: |
|
|
| Physical Address |
| Address 1:* |
|
| Address 2 |
|
| City:* |
|
| State:* |
|
| Postal Code:* |
|
| Country:* |
|
|
| Mailing Address Same as Physical Address |
| Address 1:* |
|
| Address 2 |
|
| City:* |
|
| State:* |
|
| Postal Code:* |
|
| Country:* |
|
|
| Primary Foodservice Distributor - Please supply the name and location (city, state)* |
Name:
City: State:
|
|
| Sterling Silver Distributor - Please supply the name and location (city, state) |
Name:
City: State:
|
|
| Are you currently purchasing Sterling Silver meats?*
|
| If so, what products? |
|
| How many years have you been purchasing Sterling Silver at this establishment? |
| Are you a current Cargill customer (other than Sterling Silver)?*
|
| Annual Sales Volume:* |
|
|
| Restaurant Locator Guide |
|
If applicable, please participate in the Restaurant Locator Guide for free advertising on sterlingsilvermeats.com. We recommend entering descriptive sentences
below to accompany your Restaurant Locator Guide listing.
|
|
| Include link to map? |
| Include link to your website? |
|
|
|
|
By submitting this information, I certify that my membership and participation in the Sterling Silver Signature Club does not violate any policy or guideline of my employer.
|
|
|
